16-100011 0 "kidding - Single Family
City &Federal Way Permit #: 16-100011 -00-S F
Communi Econ.Dev.Services
33325 8th Ave S F I LE
Federal Way,WA 98003 e
Ins ction Request Line: 253 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: ANGELS OF AMERICA AFH
Project Address: 4041 SW 321ST ST Parcel Number: 873190 2280
Project Description: ALT-Verification of Occupancy for Adult Family Home. ***No construction work
allowed under this permit.***
Owner Applicant Contractor Lender
JAMES MARINO JAMES MARINO
ANGELS OF AMERICA ANGELS OF AMERICA
1305 S 312TH ST SUITE 202 1305 S 312TH ST SUITE 202
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
J
Census Category: 434 - Residential alt/add- no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Calculated Structure Valuation 0.00 Occupancy#1 -Construction Type Type V-B
Mechanical to be Included') No Occupancy#1 -Class R-3
Plumbing to be Included? No Occupancy#I -Use Residence(1 or 2
family)
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Saturday, July 2, 2016
Permit Issued on Monday, January 4, 2016
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordanr.e wit th- ,ws, rules and regulations of the State of Washington
and th ity • ��- . ay.
- 9 /6Date:
9 /
F—i'''tia,2a
4'3 2) 17-IN
.
Adult Family Holrm(AFH) LOCAL BUILDING INSPEGLON CHECKLIST
We References:2012 IRC Section R325(WAC 51-
APPLICATION NUMBER:/6 —/O 9 op
SECTIONS 1. 2. 3. AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED
SECTION 1— PROPERTY INFORMATION
SITE ADDRESS: 1-10-1 I *'1 in 1�1 01 Ka 1 \VI 9 SSESSOR'S TAX/PARCEL#:0731/D_Oho)O
SECTION 2—APPLICANT INFORMATION
PROPERTY OWNER NAME: nIt) if.cle1'(a &.( no DAYTIME PHONE. * ) _ .e'51
AFH LICENSEE NAME(IF DIFFERENT): DAYTIME PHONE:
SECTION 3 — FLOOR PLAN
On a separate sheet of paper (8 1/2 x 11) draw a floor plan (including all
floors) of your prospective AFH. Include all sleeping rooms (bedrooms)
indicating which bedroom is: A, B, C D, E and F.
Label all components for exiting i.e., stairs, ramps, platforms, lifts and
elevators.
SECTION 4— DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and that I
am requesting or I am authorized by the owner of the above premises to request inspection for the operation of an Adult Family
Home at this location. I agree to hold harmless the jurisdiction conducting such inspections, at my request, as to any claim
(including costs, expenses, and attorneys' fees incurred in the investigation of such claim), which may be made by any person,
including the undersigned, and filed against the jurisdi . , only where such claim arises out of the reliance of the
jurisdiction, including its officers and employees, upon e accura of the information supplied to the jurisdiction as a part of
this application. / -- ----7
NAME/TITLE: ------,---:1;i, ----,0,',..--;.--` :4`7/7/..-.�/� DATE:
PROPERTY OWNER APPLICANT Q LICENSEE
Effective: 2013 July 01
Updated: 2013 June
NAME OF AFH: /i4 /I ft>✓J ', '/ 14 .
r. SECTION 5 MUST BE COMPLETED BY THE BUILDING DEPARTMENT IN THE JURISDICTION THE HOME WILL BE LOCATED.
1+ PLEASE CHECK ALL APPLICABLE BOXES;MATCH THE LIST BELOW TO THE APPLICANT'S FLOOR PLAN—USING THEIR PROSPECTIVE RESIDENT
"1 BEDROOM DESIGNATIONS OF A B CD E AND FAND CLASSIFICATION CODE S,NS1 OR NS2.
SECTION 5— BUILDING INSPECTOR'S INSPECTION CHECKLIST
R325.3 Sleeping Room Classification: Each sleeping room in an Adult family Home shall be classified as:
Type S—where the means of egress contains stairs,elevators or platform lifts to evacuate residents to public area.
Type NS1—where 1 means of egress at grade level(has no stairs)or ramp constructed compliant with R325.9 is provided to evacuate residents to public area.
Type NS2—where 2 means of egress at grade level(both have no stairs)or ramps constructed compliant with R325.9 are provided to evacuate residents to public area.
SLEEPING ROOM A 0 Type S Type NS1 0 Type NS2 YES NO
Closet door/s are readily openable from the inside El Yes No Smoke alarm is installed in the bedroom ri 0
Bedroom door opens easily and quickly from the outside when locked 0 0
Sleeping room window has a net opening of 5.7 SF(minimum dimensions at least 24"high;at least 20"wide) P 0
EXCEPT per R310.1.1:at-grade escape windows—may have net clearance opening 5 SF
Sleeping room window has a maximum sill height of 44"above floor;no steps under window permitted 0 0
SLEEPING ROOM B 0 Type S NiType NS1 0 Type NS2 YES NO
Closet door/s are readily openable from the inside QYes 0 No Smoke alarm is installed in the bedroom 0
Bedroom door opens easily and quickly from the outside when locked 0
Sleeping room window has a net opening of 5.7 SF(minimum dimensions at least 24"high;at least 20"wide) 0
EXCEPT per R310.1.1:at-grade escape windows—may have net clearance opening 5 SF
Sleeping room window has a maximum sill height of 44"above floor; no steps under window permitted 9 0
SLEEPING ROOM C 0 Type S Type NS1 0 Type NS2 YES NO
Closet door/s are readily openable from the insidees 0 No Smoke alarm is installed in the bedroom 0 0
Bedroom door opens easily and quickly from the outside when locked 0
Sleeping room window has a net opening of 5.7 SF(minimum dimensions at least 24"high;at least 20"wide) ESV
0
EXCEPT per R310.1.1:at-grade escape windows—may have net clearance opening 5 SF
Sleeping room window has a maximum sill height of 44"above floor; no steps under window permitted 'V 0
SLEEPING ROOM D 0 Type S JIType NS1 0 Type NS2 YES NO
Closet door/s are readily openable from the inside aYes 0 No Smoke alarm is installed in the bedroom 0 0
Bedroom door opens easily and quickly from the outside when locked ,0' 0
Sleeping room window has a net opening of 5.7 SF(minimum dimensions at least 24"high;at least 20"wide) .r 0
EXCEPT per R310.1.1:at-grade escape windows—may have net clearance opening 5 SF
Sleeping room window has a maximum sill height of 44"above floor; no steps under window permitted 0
SLEEPING ROOM E 0 Type S arType NS1 0 Type NS2 Y S NO
Closet door/s are readily openable from the inside Wes 0 No Smoke alarm is installed in the bedroom 0 0
Bedroom door opens easily and quickly from the outside when locked .a' 0
Sleeping room window has a net opening of 5.7 SF(minimum dimensions at least 24"high;at least 20"wide) [' 0
EXCEPT per R310.1.1:at-grade escape windows—may have net clearance opening 5 SF
Sleeping room window has a maximum sill height of 44"above floor;no steps under window permitted tii 0
SLEEPING ROOM F 0 Type S 0 Type NS1 0 Type NS2 YES NO
Closet door/s are readily openable from the inside 0 Yes 0 No Smoke alarm is installed in the bedroom 0 0
Bedroom door opens easily and quickly from the outside when locked 0 0
Sleeping room window has a net opening of 5.7 SF(minimum dimensions at least 24"high;at least 20"wide) 0 0
EXCEPT per R310.1.1:at-grade escape windows—may have net clearance opening 5 SF
Sleeping room window has a maximum sill height of 44"above floor; no steps under window permitted 0 0
Effective: 2013 July 01
Updated: 2013 June
GENERAL YES NO
' Bathroom doors are easily and quickly likable from the outside when locked • re 0
Mmtaein 1Ei 0
.1 SmokeCarbon alarms onoxide are installedalars on
are insall levelslledas ofrthe dwellingquiredR3
,in5.1 eachon residenteachlevel sleepingofthe roomhome.,outside each separate
sleeping area in the immediate vicinity of sleeping rooms(R314). ® 0
Smoke and Carbon Monoxide alarms are installed in such a manner so that the audible warning may be heard in all n
parts of the dwelling upon activation of a single device. 'pC"
13
Access road and water supply meet local fire jurisdictional requirements. a) El
R325.4 Operable parts of door handles,pulls,latches,locks and other devices installed in AFH shall be operable with one hand
and shall not require tight grasping,pinching or twisting of the wrist(lever-type). 0
Pocket doors shall have graspable hardware available when in the closed or open position. 0
R311.8 Ramps YES NO
Inside Ramp N/A Err 0 0
R311.8.1 Maximum Slope one unit vertical in twelve units horizontal(8.3%slope).(Exception R311.8.1 Not allowed in AFH) 0 0
R311.8.2 Landing Requirements:min.3X3 foot landing at top/bottom,where doors open onto ramps,and where ramp changes
directions. 0 0
R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1—R311.8.3.3. 0 0
Outside Ramp N/A 0 YES NO
R311.8.3.Maximum Slope one unit vertical in twelve units horizontal(8.3%slope).(Exception R311.8.1 Not allowed in AFH) 4 0
R311.8.2 Landing Requirements:min.3X3 foot landing at top/bottom,where doors open onto ramps,and where ramp changes 0
directions.
R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1—R311.8.3.3. 0
Guards below are depicted vertically as an example only.All Ramps must have Guards 0
Handrail both sides
y f Less than 4" 34"-38"
ill
Guard
36"min
I3'x
..............
.........__ �
�� .... .. landing min
3'x3'min
landing J
3' One unit vertical in twelve units horizontal 3
minimum is an 8.3%slope all along surface of the ramp. minimum
R311.2 Means of Egress YES NO
R311.2 Door must be side-hinged with min.width of 32 inches between face of door and stop.Height not less than 78 inches. Ilt0
R325.4 Operable parts of door handles,pulls,latches,locks and other devices installed in AFH shall be operable with one hand
and shall not require tight grasping,pinching or twisting of the wrist(lever-type). Lroll0
R325.4 Required exit door hardware shall unlock inside and outside mechanisms when exiting the building allowing re-entry 0
without use of key,tool or special knowledge. Required exit door shall have no additional locking devices.
R311.7 Stairways N/A f YES NO
R311.7.4.1 Riser Height:Max riser height shall be 7% inches(8 inches in structures built prior to July 1,2004) 0 0
R311.7.4.2 Tread Depth:Min.tread depth shall be in 10 inches(9 inches in structures built prior to July 1,2004) 0 0
R325.10.1 Handrails for Treads and Risers shall be installed on both sides of treads and risers numbering from one riser to multiple 0 0
risers.Handrails shall be installed in accordance with R311.7.7.1—R311.7.7.4
Effective: 2013 July 01
Updated: 2013 June
R325.8 Grab Bars in Bathrooms N/A YES NO
Grab bars shall be installed for all water c s(toilets),bathtubs and showers according to R3 0
• Water Closets(toilet)shall have grab bars installed on both sides according to R325.8—R325.8.3.2. 0
Bathtubs shall have two vertical and three horizontal grab bars installed according to R325.8—R325.8.2&R325.8.4—R325.8.4.2 0
f Shower stalls have two vertical and horizontal grab bars mounted on all sides of shower according to R325.8—R325.8.2& 0
R325.8.5—R325.8.5.2.
Shower stalls must be minimum size of 30 inches deep by 48 inches long(R325.11) 0 0
AG103—AG105 Swimming Pool,Spa,Hot Tub 141 j. YES NO
AF105.2 Must be surrounded by a barrier that is 48 inches high,may have doors and or gates that must have audible alarms when 0 0
opened.
AG105.5 EXCEPTION:Pools,Spas or Hot Tubs with a safety cover which complies with ASTM F 1346 0 0
0 PASSED 0 CORRECTIONS REQUIRED 0 PERMIT REQUIRED
QCT
INSPECTOR'S NAME(PRINT)
62)14/6-
INSPECTOR'S SIGNATURE DATE:
INSPECTOR'S OFFICE ADDRESS PHONE NUMBER:
Application and inspection checklist developed by Washington Association of Building Officials(WABO),in cooperation with Department of Social and
Health Services(DSHS)for use by both departments and licensors. 07/01/2013
Effective: 2013 July 01
Updated: 2013 June
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CEIVED
CITY OF �-- PERMIT APPLICATION
Federal Way JAN 0 4 2015
CITY OF FEDERAL WAY
/ / CDS
PERMIT NUMBER / / _ / /5 / / _ S
/// ((� ( (/ TARGET DATE
SITE ADDRESS
t/�(/ /,�—(,,/ // ////� /1� \JV , SUITE/UNIT#
PR 1-40CT 1 /IONS K I9 l Si) F ` is R a/ i v Vl itt'+1�'` ��f
ASSESSOR'S TAX/PARCEL#
A/ Res IC:�i i aI 7 ( ' ° -
TYPE OF PERMIT >1 BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT { C1C F"/' S mop rte' N'iljaCJEA
PROJECT DESCRIPTION '
g
s " ' tJOPF ' - 1 I � NeH
Detailed description of work to �, V
be included on this permit only
NAME ° PRIMARY� PHONE
PROPERTY OWNER (Y'c4� 5-a �5 75j
MAILING ADDRESS ✓ E-MAIL tc
/7z9i . ft 2 l (Ac e,'CITY STATE ZIPlicAnntse
NAME ��/ )_
PHONE
MAILING ADDRESS� E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME cl t ' 1.L'
7.5773i3 i'
APPLICANT MAILING ADDRESS E-MAIL
kines6 4keit(
CITY STATE ZIP FAX
NAME PRIMARY P`H�O
PROJECT CONTACT ! S �-��R o 5 ll 3j 5
MAILING ADDRESS E-MAIL
(The individual to receive and s e. AO II ,,
respond to all correspondence r ((�
4-4
concerning this application) CITY STATE ZIP AX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental Iaws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: s r /✓,�1�' DATE 3.'9 /1 5
PRINT NAM \ A�)e m Q p4 O
Bulletin#100-January 1,2013 Page 1 of 3 k:AHandouts\Permit Application
• S 4
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
• GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No o Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION
Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY •
PROJECT AREA ONLY )
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application